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Table 2 Characteristics of identified RAI-HC quality indicators

From: Home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC): a systematic review

QI

Measure levela

Typeb

QI set affiliationc

Face validityd

Interrater reliabilitye

interRAI 1st

Swiss RAI-HC

interRAI 2nd

interRAI 1st

Swiss RAI-HC

interRAI 2nd

Swiss RAI-HC

ADL

O

I

 

C

A

 

≥ 0.60

ADL decline

O

I

  

  

B

 

ADL improvement

O

I

  

  

B

 

IADL

O

I

 

  

A

 

≥ 0.60

IADL decline

O

I

  

  

B

 

IADL improvement

O

I

  

  

B

 

Rehabilitation potential and no therapies

P

P

()

 

C

A

 

N/A

Decline independency

O

P

 

  

A

 

N/A

Difficulties in communication

O

I

 

C

A

 

N/A

Communication decline

O

I

  

  

B

 

Communication improvement

O

I

  

  

B

 

Bladder incontinence

O

I

 

C

D

 

≥ 0.60

Bladder decline

O

I

  

  

B

 

Bladder improvement

O

I

  

  

B

 

Bowel incontinence

O

I

 

()

  

D

 

≥ 0.60

Obstipation

O

I

 

()

  

A

 

≥ 0.60

Skin ulcer

O

I

 

C

A

 

< 0.40

Mouth problems

O

P

 

  

A

 

0.40–0.59

Cognitive function

O

I

 

C

D

 

0.40–0.59

Cognitive decline

O

I

  

  

B

 

Cognitive improvement

O

I

  

  

B

 

Delirium

O

P

()

 

C

A

 

N/A

Negative mood

O

P

 

C

A

 

< 0.40

Mood decline

O

I

  

  

B

 

Mood improvement

O

I

  

  

B

 

Negative mood without intervention

O

P

 

()

  

A

 

< 0.40

Social isolation with distress

O

P

C

A

B

0.40–0.59

Does not go out but used to

O

P

  

  

B

 

Continued caregiver distress

O

P

 

 

A

B

< 0.40

Falls

O

P

C

D

B

≥ 0.60

Neglect or abuse

O

P

 

C

A

 

N/A

Injuries

O

P

 

C

 

B

 

Hospital, ED, emergent care

O

P

 

C

 

B

 

Daily severe pain

O

P

C

A

B

0.40–0.59

Inadequate pain control

O

P

C

A

B

< 0.40

Pain improvement

O

I

  

  

B

 

Dehydration

O

P

 

C

A

 

0.40–0.59

Weight loss

O

P

C

A

B

N/A

Weight change (undesired)

O

I

 

()

  

D

 

N/A

Weight change (unfavourable)

O

I

 

()

  

D

 

N/A

Inadequate meals

O

P

  

C

   

Difficulty in locomotion and no assistive device

O

P

  

C

   

Impaired locomotion in home

O

I

 

C

A

 

≥ 0.60

No medication review by MD

P

P

 

C

A

 

N/A

Inconsistent drug intake

O

P

 

()

  

A

 

N/A

Hearing

O

P

 

()

  

A

 

< 0.40

Eyesight

O

P

 

()

  

D

 

N/A

No flu vaccination

P

P

 

C

 

B

 
  1. Abbreviations: ADL Activities of daily living, ED Emergency department, IADL Instrumental activities of daily living, MD Medical doctor, QI Quality indicator, RAI-HC Resident Assessment Instrument-Home Care
  2. a O = Outcome, P = Process, classified by authors
  3. b I = Incidence-based measure (measures changes in a client’s health status from one time point to another), P = Prevalence-based measure (measures client's health status at a single point in time)
  4. c interRAI 1st = interRAI's 1st generation QI set by Hirdes et al. [37], Swiss RAI-HC = Swiss RAI-HC QI set by Burla et al. [29], interRAI 2nd = interRAI's 2nd generation QI set by Morris et al. [30], = part of the QI set, () = part of the QI set but not core set (only for Swiss QIs)
  5. d Face validity was assessed for all three QI sets:
  6. A = Face validity assessed with nominal group technique and rated as appropriate
  7. B = Face validity assessed with unstructured consensus process (approved by 70% of experts) and rated as appropriate
  8. C = Rating process of face validity not described but rated as appropriate
  9. D = Face validity assessed with nominal group technique and rated as inappropriate
  10. e Interrater reliability was tested by Burla et al. [29] for 18 Swiss RAI-HC QIs, values indicate kappa/yules values, N/A = not applicable: interrater reliability not tested due to small sample size. Kappa/yules values < 0.40 were interpreted as insufficient reliability